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Health care system development during violence crisis in the Deep South, Thailand

สุวัฒน์ วิริยพงษ์สุกิจ; อมร รอดคล้าย; สุภัทร ฮาสุวรรณกิจ; พงค์เทพ สุธีรวุฒิ; วรสิทธิ์ ศรศรีวิชัย; เมตตา กูนิง;
Date: 2550-10
Abstract
Background: Series of violence have ruined lives and properties of residents in Pattani, Yala, Narathiwas and some districts of Songkhla provinces since January, 2004. From the beginning, the violence inevitably has affected health care services, particularly primary health care in rural area. Outpatient in primary care units were decreasing while those in hospitals were increasing. Health personnel had been under enormous fear and stress of insecure living and working environment. Shortage of health personnel due to moving out of the crisis area was observed. Objectives: To identify strategy and develop model for immediate intervention and long term health care system that appropriate to the southern violence crisis context. Results: • Security of health care facility and personnel: Health practitioner and academia had developed security management package using the concept of neutrality and strengthening protection to harden soft target and immunizing with good and impartial health services which increase community acceptance to soften threat. • Emergency medical care and referral system: Regional and provincial referral center and expert consultation network were set up. However quality improvements in some area e.g. transfer from place of occurrence to health care facility are still needed. In addition to health personnel were worry about security during refer. • Financing management: Budget was increasing, mainly in operation, incentive and investment while expense was also increasing. Overall balance is slightly increasing. • Human resource management: Although number of overall health personnel is above the country’s average, shortage of some particular fields e.g. surgery is still a big problem due to increased workload from crisis.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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HSRI Knowledge BankDashboardCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjectsSubjectsการบริการสุขภาพ (Health Service Delivery) [619]กำลังคนด้านสุขภาพ (Health Workforce) [99]ระบบสารสนเทศด้านสุขภาพ (Health Information Systems) [286]ผลิตภัณฑ์ วัคซีน และเทคโนโลยีทางการแพทย์ (Medical Products, Vaccines and Technologies) [125]ระบบการเงินการคลังด้านสุขภาพ (Health Systems Financing) [158]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1281]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [228]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [20]

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